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Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible
Objective To assess the biomechanical effects of different prosthetic/implant configurations and load directions on 3-unit fixed prostheses supported by short dental implants in the posterior mandible using validated 3-D finite element (FE) models. Methods Models represented an atrophic mandible, mi...
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| Published in: | International journal of implant dentistry 2022-02, Vol.8 (1), p.8-8, Article 8 |
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| container_title | International journal of implant dentistry |
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| creator | Zupancic Cepic, Lana Frank, Martin Reisinger, Andreas Pahr, Dieter Zechner, Werner Schedle, Andreas |
| description | Objective
To assess the biomechanical effects of different prosthetic/implant configurations and load directions on 3-unit fixed prostheses supported by short dental implants in the posterior mandible using validated 3-D finite element (FE) models.
Methods
Models represented an atrophic mandible, missing the 2nd premolar, 1st and 2nd molars, and rehabilitated with either two short implants (implant length-IL = 8 mm and 4 mm) supporting a 3-unit dental bridge or three short implants (IL = 8 mm, 6 mm and 4 mm) supporting zirconia prosthesis in splinted or single crowns design. Load simulations were performed in ABAQUS (Dassault Systèmes, France) under axial and oblique (30°) force of 100 N to assess the global stiffness and forces within the implant prosthesis. Local stresses within implant/prosthesis system and strain energy density (SED) within surrounding bone were determined and compared between configurations.
Results
The global stiffness was around 1.5 times higher in splinted configurations vs. single crowns, whereby off-axis loading lead to a decrease of 39%. Splinted prostheses exhibited a better stress distribution than single crowns. Local stresses were larger and distributed over a larger area under oblique loads compared to axial load direction. The forces on each implant in the 2-implant-splinted configurations increased by 25% compared to splinted crowns on 3 implants. Loading of un-splinted configurations resulted in increased local SED magnitude.
Conclusion
Splinting of adjacent short implants in posterior mandible by the prosthetic restoration has a profound effect on the magnitude and distribution of the local stress peaks in peri-implant regions. Replacing each missing tooth with an implant is recommended, whenever bone supply and costs permit. |
| doi_str_mv | 10.1186/s40729-022-00404-8 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_123c37e540834e46b83d2aea99de92f0</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_123c37e540834e46b83d2aea99de92f0</doaj_id><sourcerecordid>2627872806</sourcerecordid><originalsourceid>FETCH-LOGICAL-c603t-214d08ab475603d5c4e1249d7f8cd14d44904759a802a6929a01002b448058a23</originalsourceid><addsrcrecordid>eNp9Uk1v1DAQjRCIVqV_gAOyxIVDTccfm9gXpGXLR6UiLnC2nHiy61USBztBVOLH192U0nLg5Jl5b54941cULxm8ZUyV50lCxTUFzimABEnVk-KYM62oBCGfPoiPitOU9gDASiE5Z8-LI7Fisqo0Oy5-v_ehx2ZnB9_YjrR-8BMS7LDHYSJ2sN118omElqRdiBP1_djZYaJpHsecozsjgs656Sz3_kJHNuuL8836CxljSNMOEybiB5IjMuYCRh8i6e3gfN3hi-JZa7uEp3fnSfH944dvm8_06uuny836ijYliIlyJh0oW8tqlXO3aiQyLrWrWtW4jEmpIWPaKuC21FxbYAC8llLBSlkuTorLRdcFuzdj9L2N1yZYbw6FELfGxsk3HRrGRSMqXElQQqIsayUct2i1dqh5C1nr3aI1znWPrslrirZ7JPoYGfzObMNPo5SoKpBZ4M2dQAw_ZkyT6X1qsMtrxTAnw0uuBOSZb6mv_6HuwxzznxxYlaq4gjKz-MJq8spTxPb-MQzMrVfM4hWTvWIOXjEqN716OMZ9yx9nZIJYCClDwxbj37v_I3sDzdPI8g</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2627872806</pqid></control><display><type>article</type><title>Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible</title><source>Open Access: PubMed Central</source><source>Springer Nature - SpringerLink Journals - Fully Open Access </source><source>Publicly Available Content (ProQuest)</source><creator>Zupancic Cepic, Lana ; Frank, Martin ; Reisinger, Andreas ; Pahr, Dieter ; Zechner, Werner ; Schedle, Andreas</creator><creatorcontrib>Zupancic Cepic, Lana ; Frank, Martin ; Reisinger, Andreas ; Pahr, Dieter ; Zechner, Werner ; Schedle, Andreas</creatorcontrib><description>Objective
To assess the biomechanical effects of different prosthetic/implant configurations and load directions on 3-unit fixed prostheses supported by short dental implants in the posterior mandible using validated 3-D finite element (FE) models.
Methods
Models represented an atrophic mandible, missing the 2nd premolar, 1st and 2nd molars, and rehabilitated with either two short implants (implant length-IL = 8 mm and 4 mm) supporting a 3-unit dental bridge or three short implants (IL = 8 mm, 6 mm and 4 mm) supporting zirconia prosthesis in splinted or single crowns design. Load simulations were performed in ABAQUS (Dassault Systèmes, France) under axial and oblique (30°) force of 100 N to assess the global stiffness and forces within the implant prosthesis. Local stresses within implant/prosthesis system and strain energy density (SED) within surrounding bone were determined and compared between configurations.
Results
The global stiffness was around 1.5 times higher in splinted configurations vs. single crowns, whereby off-axis loading lead to a decrease of 39%. Splinted prostheses exhibited a better stress distribution than single crowns. Local stresses were larger and distributed over a larger area under oblique loads compared to axial load direction. The forces on each implant in the 2-implant-splinted configurations increased by 25% compared to splinted crowns on 3 implants. Loading of un-splinted configurations resulted in increased local SED magnitude.
Conclusion
Splinting of adjacent short implants in posterior mandible by the prosthetic restoration has a profound effect on the magnitude and distribution of the local stress peaks in peri-implant regions. Replacing each missing tooth with an implant is recommended, whenever bone supply and costs permit.</description><identifier>ISSN: 2198-4034</identifier><identifier>EISSN: 2198-4034</identifier><identifier>DOI: 10.1186/s40729-022-00404-8</identifier><identifier>PMID: 35147791</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Artificial Limbs ; Axial loads ; Biomechanical engineering ; Biomechanics ; CAD/CAM ; CAM ; Computer aided manufacturing ; Computer-Aided Design ; Configurations ; Dental bridges ; Dental Implants ; Dentistry ; Finite Element Analysis ; Finite element method ; Fixed implant-supported prostheses ; Flux density ; Functional load ; Mandible - surgery ; Mathematical models ; Medicine ; Prostheses ; Prosthetic design parameters ; Short dental implants ; Stiffness ; Stress distribution ; Surgical implants ; Transplants & implants ; Zirconium dioxide</subject><ispartof>International journal of implant dentistry, 2022-02, Vol.8 (1), p.8-8, Article 8</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c603t-214d08ab475603d5c4e1249d7f8cd14d44904759a802a6929a01002b448058a23</citedby><cites>FETCH-LOGICAL-c603t-214d08ab475603d5c4e1249d7f8cd14d44904759a802a6929a01002b448058a23</cites><orcidid>0000-0003-1205-4359</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8837704/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2627872806?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,25734,27905,27906,36993,36994,44571,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35147791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zupancic Cepic, Lana</creatorcontrib><creatorcontrib>Frank, Martin</creatorcontrib><creatorcontrib>Reisinger, Andreas</creatorcontrib><creatorcontrib>Pahr, Dieter</creatorcontrib><creatorcontrib>Zechner, Werner</creatorcontrib><creatorcontrib>Schedle, Andreas</creatorcontrib><title>Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible</title><title>International journal of implant dentistry</title><addtitle>Int J Implant Dent</addtitle><addtitle>Int J Implant Dent</addtitle><description>Objective
To assess the biomechanical effects of different prosthetic/implant configurations and load directions on 3-unit fixed prostheses supported by short dental implants in the posterior mandible using validated 3-D finite element (FE) models.
Methods
Models represented an atrophic mandible, missing the 2nd premolar, 1st and 2nd molars, and rehabilitated with either two short implants (implant length-IL = 8 mm and 4 mm) supporting a 3-unit dental bridge or three short implants (IL = 8 mm, 6 mm and 4 mm) supporting zirconia prosthesis in splinted or single crowns design. Load simulations were performed in ABAQUS (Dassault Systèmes, France) under axial and oblique (30°) force of 100 N to assess the global stiffness and forces within the implant prosthesis. Local stresses within implant/prosthesis system and strain energy density (SED) within surrounding bone were determined and compared between configurations.
Results
The global stiffness was around 1.5 times higher in splinted configurations vs. single crowns, whereby off-axis loading lead to a decrease of 39%. Splinted prostheses exhibited a better stress distribution than single crowns. Local stresses were larger and distributed over a larger area under oblique loads compared to axial load direction. The forces on each implant in the 2-implant-splinted configurations increased by 25% compared to splinted crowns on 3 implants. Loading of un-splinted configurations resulted in increased local SED magnitude.
Conclusion
Splinting of adjacent short implants in posterior mandible by the prosthetic restoration has a profound effect on the magnitude and distribution of the local stress peaks in peri-implant regions. Replacing each missing tooth with an implant is recommended, whenever bone supply and costs permit.</description><subject>Artificial Limbs</subject><subject>Axial loads</subject><subject>Biomechanical engineering</subject><subject>Biomechanics</subject><subject>CAD/CAM</subject><subject>CAM</subject><subject>Computer aided manufacturing</subject><subject>Computer-Aided Design</subject><subject>Configurations</subject><subject>Dental bridges</subject><subject>Dental Implants</subject><subject>Dentistry</subject><subject>Finite Element Analysis</subject><subject>Finite element method</subject><subject>Fixed implant-supported prostheses</subject><subject>Flux density</subject><subject>Functional load</subject><subject>Mandible - surgery</subject><subject>Mathematical models</subject><subject>Medicine</subject><subject>Prostheses</subject><subject>Prosthetic design parameters</subject><subject>Short dental implants</subject><subject>Stiffness</subject><subject>Stress distribution</subject><subject>Surgical implants</subject><subject>Transplants & implants</subject><subject>Zirconium dioxide</subject><issn>2198-4034</issn><issn>2198-4034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9Uk1v1DAQjRCIVqV_gAOyxIVDTccfm9gXpGXLR6UiLnC2nHiy61USBztBVOLH192U0nLg5Jl5b54941cULxm8ZUyV50lCxTUFzimABEnVk-KYM62oBCGfPoiPitOU9gDASiE5Z8-LI7Fisqo0Oy5-v_ehx2ZnB9_YjrR-8BMS7LDHYSJ2sN118omElqRdiBP1_djZYaJpHsecozsjgs656Sz3_kJHNuuL8836CxljSNMOEybiB5IjMuYCRh8i6e3gfN3hi-JZa7uEp3fnSfH944dvm8_06uuny836ijYliIlyJh0oW8tqlXO3aiQyLrWrWtW4jEmpIWPaKuC21FxbYAC8llLBSlkuTorLRdcFuzdj9L2N1yZYbw6FELfGxsk3HRrGRSMqXElQQqIsayUct2i1dqh5C1nr3aI1znWPrslrirZ7JPoYGfzObMNPo5SoKpBZ4M2dQAw_ZkyT6X1qsMtrxTAnw0uuBOSZb6mv_6HuwxzznxxYlaq4gjKz-MJq8spTxPb-MQzMrVfM4hWTvWIOXjEqN716OMZ9yx9nZIJYCClDwxbj37v_I3sDzdPI8g</recordid><startdate>20220211</startdate><enddate>20220211</enddate><creator>Zupancic Cepic, Lana</creator><creator>Frank, Martin</creator><creator>Reisinger, Andreas</creator><creator>Pahr, Dieter</creator><creator>Zechner, Werner</creator><creator>Schedle, Andreas</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>M0S</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-1205-4359</orcidid></search><sort><creationdate>20220211</creationdate><title>Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible</title><author>Zupancic Cepic, Lana ; Frank, Martin ; Reisinger, Andreas ; Pahr, Dieter ; Zechner, Werner ; Schedle, Andreas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c603t-214d08ab475603d5c4e1249d7f8cd14d44904759a802a6929a01002b448058a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Artificial Limbs</topic><topic>Axial loads</topic><topic>Biomechanical engineering</topic><topic>Biomechanics</topic><topic>CAD/CAM</topic><topic>CAM</topic><topic>Computer aided manufacturing</topic><topic>Computer-Aided Design</topic><topic>Configurations</topic><topic>Dental bridges</topic><topic>Dental Implants</topic><topic>Dentistry</topic><topic>Finite Element Analysis</topic><topic>Finite element method</topic><topic>Fixed implant-supported prostheses</topic><topic>Flux density</topic><topic>Functional load</topic><topic>Mandible - surgery</topic><topic>Mathematical models</topic><topic>Medicine</topic><topic>Prostheses</topic><topic>Prosthetic design parameters</topic><topic>Short dental implants</topic><topic>Stiffness</topic><topic>Stress distribution</topic><topic>Surgical implants</topic><topic>Transplants & implants</topic><topic>Zirconium dioxide</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zupancic Cepic, Lana</creatorcontrib><creatorcontrib>Frank, Martin</creatorcontrib><creatorcontrib>Reisinger, Andreas</creatorcontrib><creatorcontrib>Pahr, Dieter</creatorcontrib><creatorcontrib>Zechner, Werner</creatorcontrib><creatorcontrib>Schedle, Andreas</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>https://resources.nclive.org/materials</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Materials science collection</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>International journal of implant dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zupancic Cepic, Lana</au><au>Frank, Martin</au><au>Reisinger, Andreas</au><au>Pahr, Dieter</au><au>Zechner, Werner</au><au>Schedle, Andreas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible</atitle><jtitle>International journal of implant dentistry</jtitle><stitle>Int J Implant Dent</stitle><addtitle>Int J Implant Dent</addtitle><date>2022-02-11</date><risdate>2022</risdate><volume>8</volume><issue>1</issue><spage>8</spage><epage>8</epage><pages>8-8</pages><artnum>8</artnum><issn>2198-4034</issn><eissn>2198-4034</eissn><abstract>Objective
To assess the biomechanical effects of different prosthetic/implant configurations and load directions on 3-unit fixed prostheses supported by short dental implants in the posterior mandible using validated 3-D finite element (FE) models.
Methods
Models represented an atrophic mandible, missing the 2nd premolar, 1st and 2nd molars, and rehabilitated with either two short implants (implant length-IL = 8 mm and 4 mm) supporting a 3-unit dental bridge or three short implants (IL = 8 mm, 6 mm and 4 mm) supporting zirconia prosthesis in splinted or single crowns design. Load simulations were performed in ABAQUS (Dassault Systèmes, France) under axial and oblique (30°) force of 100 N to assess the global stiffness and forces within the implant prosthesis. Local stresses within implant/prosthesis system and strain energy density (SED) within surrounding bone were determined and compared between configurations.
Results
The global stiffness was around 1.5 times higher in splinted configurations vs. single crowns, whereby off-axis loading lead to a decrease of 39%. Splinted prostheses exhibited a better stress distribution than single crowns. Local stresses were larger and distributed over a larger area under oblique loads compared to axial load direction. The forces on each implant in the 2-implant-splinted configurations increased by 25% compared to splinted crowns on 3 implants. Loading of un-splinted configurations resulted in increased local SED magnitude.
Conclusion
Splinting of adjacent short implants in posterior mandible by the prosthetic restoration has a profound effect on the magnitude and distribution of the local stress peaks in peri-implant regions. Replacing each missing tooth with an implant is recommended, whenever bone supply and costs permit.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35147791</pmid><doi>10.1186/s40729-022-00404-8</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-1205-4359</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Open Access: PubMed Central; Springer Nature - SpringerLink Journals - Fully Open Access ; Publicly Available Content (ProQuest) |
| subjects | Artificial Limbs Axial loads Biomechanical engineering Biomechanics CAD/CAM CAM Computer aided manufacturing Computer-Aided Design Configurations Dental bridges Dental Implants Dentistry Finite Element Analysis Finite element method Fixed implant-supported prostheses Flux density Functional load Mandible - surgery Mathematical models Medicine Prostheses Prosthetic design parameters Short dental implants Stiffness Stress distribution Surgical implants Transplants & implants Zirconium dioxide |
| title | Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible |
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